RICHARD J VANWAGONER

JACKSON, MI
NPI1790234151
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: MI  6802020984)
Enumeration Date2016-09-27
Last Update Date2016-09-27
Business Address
Mr. RICHARD J VANWAGONER LBSW
216 W MORRELL ST STE 300
JACKSON, MI 49203-2351
Phone number: 517-782-0380
Mailing Address
Mr. RICHARD J VANWAGONER LBSW
3366 REYNOLDS RD
JACKSON, MI 49201-9398
Phone number: 517-240-4778
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